ANS 2 BSMCON 3112 Ultimate Exam | Questions
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Terms in this set (42)
Which two assessment findings A.
indicate that the desired outcome of Decreased lethargy
Lactulose has been achieved? ((Each B.
answer is worth 1 point each; total Decreased bowel movements
question value 0-2 points) C.
A. Elevated albumin levels
Decreased lethargy D.
B. Increased urine output
Decreased bowel movements E.
C. Lowered ammonia levels
Elevated albumin levels
D. Rationale: Hepatic encephalopathy is a result of
Increased urine output increased serum ammonia levels, which cause
E. neurological changes, including lethargy,
Lowered ammonia levels confusion, agitation, stupor, coma, etc. Lactulose
decreases serum ammonia levels, which will
decrease the patient's hepatic encephalopathy
symptoms. Lactulose will increase the number of
bowel movements..
,The nurse is teaching a cirrhosis A.Lactulose will promote fluid loss
patient taking Lactulose who B.Lactulose will prevent constipation
complains of diarrhea. What will the C.Lactulose will prevent gastrointestinal bleeding
nurse emphasize regarding the D.Lactulose will improve nervous system function
importance of taking Lactulose?
A.Lactulose will promote fluid loss Rationale: The patient has cirrhosis, so lactulose
B.Lactulose will prevent constipation administration is for maintaining normal serum
C.Lactulose will prevent ammonia levels, not for constipation. The patient
gastrointestinal bleeding needs to understand the importance of taking
D.Lactulose will improve nervous lactulose, for it prevents the development of
system function hepatic encephalopathy. Hepatic encephalopathy
is a result of increased serum ammonia levels,
which cause neurological changes, including
lethargy, confusion, agitation, stupor, coma, etc.
Lactulose decreases serum ammonia levels, which
will decrease the patient's hepatic encephalopathy
symptoms.
What is the purpose of the albumin A.Increase fluid in intravascular space
administration?
A.Increase fluid in intravascular Rationale: Albumin administration increases serum
space oncotic pressure. This causes fluid to shift from the
B.Increased fluid in the peritoneal extravascular space (ex. peritoneal cavity) to the
cavity intravascular space. This increased fluid will result in
C.Decreased fluid in the intravascular excretion of fluid (urine), which would reduce the
space patient's weight, not increase it.
D.Increased total weight
, The nurse admits a patient with a A. High protein
diagnosis of hepatic failure, hepatic B. Low sodium
encephalopathy, ascites and C. Fluid restriction
jaundice. What diet orders should the D. Low carbohydrate
nurse anticipate? (Select all that E. Low protein
apply. Each correct answer is worth 1
point, and each incorrect answer Rationale: The patient has ascites, hepatic
subtracts 1 point). encephalopathy, and jaundice. Diet modifications
A. High protein would include sodium restriction (2g/day), fluid
B. Low sodium restriction, decreased protein intake (decreases
C. Fluid restriction serum ammonia levels), increased carbohydrate
D. Low carbohydrate intake. Too much protein in the patient's diet can
E. Low protein increased serum ammonia levels, which would
make the patient's hepatic encephalopathy worse.
What assessment findings are A. Nausea and vomiting
indicative of a patient with acute viral B. Clay colored stools and dark colored urine
hepatitis? (Select all that apply. Each C. Fatigue and pruritis
correct answer is worth 1 point, and D. Malaise and fever
each incorrect answer subtracts 1
point).
A. Rationale: Acute viral hepatitis is divided into three
Nausea and vomiting phases: pre-icteric, icteric, and post-icteric. There
B. are assessment findings specific to each phase, but
Clay colored stools and dark this question looks at all stages. Assessment
colored urine findings would include nausea, vomiting, jaundice,
C. clay colored stools, dark urine, fatigue, malaise,
Fatigue and pruritis pruritis, hepatomegaly, anorexia, fatigue, and fever.
D.
Malaise and fever
E.
Black tarry stools and bloody urine
and Answers | Verified Solutions | 2026 Edition |
Pass Guaranteed
Save
Terms in this set (42)
Which two assessment findings A.
indicate that the desired outcome of Decreased lethargy
Lactulose has been achieved? ((Each B.
answer is worth 1 point each; total Decreased bowel movements
question value 0-2 points) C.
A. Elevated albumin levels
Decreased lethargy D.
B. Increased urine output
Decreased bowel movements E.
C. Lowered ammonia levels
Elevated albumin levels
D. Rationale: Hepatic encephalopathy is a result of
Increased urine output increased serum ammonia levels, which cause
E. neurological changes, including lethargy,
Lowered ammonia levels confusion, agitation, stupor, coma, etc. Lactulose
decreases serum ammonia levels, which will
decrease the patient's hepatic encephalopathy
symptoms. Lactulose will increase the number of
bowel movements..
,The nurse is teaching a cirrhosis A.Lactulose will promote fluid loss
patient taking Lactulose who B.Lactulose will prevent constipation
complains of diarrhea. What will the C.Lactulose will prevent gastrointestinal bleeding
nurse emphasize regarding the D.Lactulose will improve nervous system function
importance of taking Lactulose?
A.Lactulose will promote fluid loss Rationale: The patient has cirrhosis, so lactulose
B.Lactulose will prevent constipation administration is for maintaining normal serum
C.Lactulose will prevent ammonia levels, not for constipation. The patient
gastrointestinal bleeding needs to understand the importance of taking
D.Lactulose will improve nervous lactulose, for it prevents the development of
system function hepatic encephalopathy. Hepatic encephalopathy
is a result of increased serum ammonia levels,
which cause neurological changes, including
lethargy, confusion, agitation, stupor, coma, etc.
Lactulose decreases serum ammonia levels, which
will decrease the patient's hepatic encephalopathy
symptoms.
What is the purpose of the albumin A.Increase fluid in intravascular space
administration?
A.Increase fluid in intravascular Rationale: Albumin administration increases serum
space oncotic pressure. This causes fluid to shift from the
B.Increased fluid in the peritoneal extravascular space (ex. peritoneal cavity) to the
cavity intravascular space. This increased fluid will result in
C.Decreased fluid in the intravascular excretion of fluid (urine), which would reduce the
space patient's weight, not increase it.
D.Increased total weight
, The nurse admits a patient with a A. High protein
diagnosis of hepatic failure, hepatic B. Low sodium
encephalopathy, ascites and C. Fluid restriction
jaundice. What diet orders should the D. Low carbohydrate
nurse anticipate? (Select all that E. Low protein
apply. Each correct answer is worth 1
point, and each incorrect answer Rationale: The patient has ascites, hepatic
subtracts 1 point). encephalopathy, and jaundice. Diet modifications
A. High protein would include sodium restriction (2g/day), fluid
B. Low sodium restriction, decreased protein intake (decreases
C. Fluid restriction serum ammonia levels), increased carbohydrate
D. Low carbohydrate intake. Too much protein in the patient's diet can
E. Low protein increased serum ammonia levels, which would
make the patient's hepatic encephalopathy worse.
What assessment findings are A. Nausea and vomiting
indicative of a patient with acute viral B. Clay colored stools and dark colored urine
hepatitis? (Select all that apply. Each C. Fatigue and pruritis
correct answer is worth 1 point, and D. Malaise and fever
each incorrect answer subtracts 1
point).
A. Rationale: Acute viral hepatitis is divided into three
Nausea and vomiting phases: pre-icteric, icteric, and post-icteric. There
B. are assessment findings specific to each phase, but
Clay colored stools and dark this question looks at all stages. Assessment
colored urine findings would include nausea, vomiting, jaundice,
C. clay colored stools, dark urine, fatigue, malaise,
Fatigue and pruritis pruritis, hepatomegaly, anorexia, fatigue, and fever.
D.
Malaise and fever
E.
Black tarry stools and bloody urine
